In the context of continuing debate about the role of the IMF in aid to low-income countries, the IEO evaluated what, and how well, the IMF has done regarding aid to sub-Saharan Africa. This report focuses on IMF policy and practice in operations supported by the Poverty Reduction and Growth Facility, the IMF's main instrument for operational work in low-income countries, during 1999-2005. The report also provides recommendations for improving the coherence-actual and perceived-of the institution's policies and actions relating to aid to sub-Saharan Africa.